The upside of using an addictive, cancer-causing product, if there is an upside, is If you’re buying cigarettes or smokeless tobacco in America, then you’re supporting an American company. It’s that easy. Virginia’s Altria, formerly known as Philip Morris and parent company of the U.S. Smokeless Tobacco Company, raised $25.43 billion of revenue in 2015. Vector Group, owner of Liggett, headquartered in Durham, N.C., raised $1.6 billion in 2014. Reynolds American, parent company of RJ Reynolds and Santa Fe Natural Tobacco, makers of American Spirit cigarettes, raised $8.236 billion in 2013.

Beer is the alcoholic beverage of choice amongst Americans, though, accounting for 85 percent of the alcoholic beverage market. If you’re into microbrews, you’re pretty much in luck if you live in America. You’re not only drinking American, but shopping locally. All that money you spend goes right back into your community’s economy. There’s over 3,000 American breweries and over 2,500 American breweries on this map. You can find one near you here.

Speaking of California, the American wine industry is buoyed by California’s Napa Valley, and 90 percent of all American wine comes from the West Coast. Again, figuring out if your wine is American-made is as easy as reading the label. Wineries aren’t shy about it. Constellation Brands, the largest wine company in the world, started in the Finger Lakes region of New York. If you drink Barefoot, your money goes to California. If you drink Franzia, your money goes to California. Keep in mind that trying wines from different places is like tasting the place itself, so don’t let an American bias stop you from trying an Argentinian Malbec or Italian Chianti. That would be a shame.

It’s a pretty good bet the weed you’re smoking is American if you’re smoking it within American borders. The closer you get to a border, the worse chance you have of coming across un-American marijuana, but with the public opinion of marijuana changing and legislation legalizing the drug increases, supply and demand also increase. Business Insider was nice enough to put together a list of the 25 best marijuana dispensaries in every state in which it’s legal, either medically or recreationally.

If you’re in Colorado, visit The Farm in Boulder or Doctor’s Orders in Denver. Each place has a great deal every day. If you happen to be taking a tour of wineries in the Columbia Basin of Washington, stop by Green2Go in Prosser.

Cocaine is expensive and hard to find in most places, but most people can easily get a prescription for ADHD medication and quickly move up the scale from the extended release capsules (which contain beads that are designed to keep people from crushing and snorting them) to the immediate release pills (which are not).

I actually suffer from adult ADHD and take 15 mg of immediate release Adderall most workdays. It has increased my production immensely. I’ve gone from working with 30 tabs open in my web browser to 10 or less, but before you schedule an appointment, check out this list to see if you actually suffer from ADHD symptoms. And when you take the test given by your doctor, take it honestly. In the words of my best friend, “It’s a tool, not a lifestyle.”

This is nothing new, as it’s the same policy passed in the last spending bill, but Trump didn’t exactly do much to alter the policy despite being in a position to do so. Why would he? Allowing even more immigrants to serve as temporary employees at cheaper wages will make his CEO friends happy, but it should infuriate Americans. It certainly assures that the 11.5 percent youth (ages 16 to 24) unemployment rate will remain mostly unchanged.

These H-2B jobs, like working at winter or summer resorts in guest services or as a housekeeper or groundskeeper, used to be filled by high school and college students looking to make a buck while going to school. Some of them are saving for a college education that has grown increasingly unaffordable. Now the money goes to temporary immigrants who will take it home with them when they’re no longer needed. They can serve up to three years on an H-2B visa, but then only have to leave the United States for three months before reapplying. From the U.S. Citizenship and Immigration Services website:

“A person who has held H-2B nonimmigrant status for a total of 3 years must depart and remain outside the United States for an uninterrupted period of 3 months before seeking readmission as an H-2B nonimmigrant. Additionally, previous time spent in other H or L classifications counts toward total H-2B time.”

At least medical marijuana jobs won’t be affected by the spending bill, though. The Department of Justice still can’t spend funds enforcing federal marijuana law upon state’s that have legalized medical marijuana, but no protections exist for states with recreational marijuana policies.

Alaskan fisher-people should also be happy, as the spending bill has made the “brown king crab” more appealing by allowing it to be called “golden king crab.” Young Americans will also be subjected to school breakfasts and lunches featuring more sugar and fat thanks to new Agriculture Secretary Sonny Perdue freezing Michelle Obama’s plan to fight childhood obesity. Welcome to Trump's America, where under-educated Americans lose jobs to under-educated immigrants, under-paid Americans pay more taxes than over-paid Americans, and diabetes runs rampant.

We commonly think of DUI’s, or Driving Under the Influence, a result of drinking alcohol and driving while intoxicated. However what many people fail to realize is drugs, including prescriptions, could decrease your ability to drive safely, hence putting you at risk for a DUI when alcohol wasn’t even ingested.

A report from the Governors Highway Safety Association (GHSA) and the Foundation for Advancing Alcohol Responsibility found that more fatal crashes were the result of drug use as opposed to alcohol use.

These findings showed that although alcohol was involved in 37% of fatal crashes, prescriptions and illegal drugs were responsible for 43% of driver- related deaths. Looking deeper into data available from the National Highway Transportation Safety Administration (NHTSA), they found 36.5 % of drug related fatal car crashes were the result of marijuana use.

Now what about prescription drugs? California Vehicle Code 23152(e) states, “It is unlawful for a person who is under the influence of any drug to drive a vehicle.” So what prescription drugs could impair one’s driving?

The obvious ones include the following:

Narcotics such as hydrocodone, oxycodone, morphine, codeine…to name a few

However surprisingly, these next groups of medications can also cause sedation:

Cholesterol medications such as statins: lovastatin, atorvastatin, etc. may cause fatigue and recent studies have found them to cause “excessive tiredness”.

Stomach acid suppressants such as proton pump inhibitors: omeprazole, lansoprazole have been reported to cause vitamin deficiencies such as B12 and magnesium which in turn can cause fatigue.

Antibiotics that treat many common infections: Amoxicillin, azithromycin, ciprofloxacin have been known to cause fatigue.

Diuretics for blood pressure and water retention: hydrochlorothiazide, furosemide cause potassium loss in the urine which may contribute to fatigue

Antihistamines: anti-allergy medications such as diphenhydramine (Benadryl) are very sedating, which is why they are used in some over the counter sleep aids. There are some reports that the younger generation of medications such as Zyrtec can cause drowsiness as well.

Blood pressure medications: these can include the ACE inhibitors such as captopril, enalapril; calcium channel blockers such as amlodipine; beta blockers such as metoprolol as well as the diuretic family mentioned previously.

Antidepressants: many antidepressants additionally help with anxiety through their sedating effects such as trazodone, paroxetine, and escitalopram to name a few.

Despite the rarity of these types of cases, the potential is still there for one to not only receive a DUI but injure himself or others if the prescription makes him less alert, i.e. decreases his “sobriety”. Discuss with your medical provider if you feel drowsy after you take your medication and if there are less sedating options.

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Daliah Wachs, MD, FAAFP is a Board Certified Family Physician.The Dr. Daliah Show , is nationally syndicated M-F from 11:00am-2:00pm and Saturday from Noon-1:00pm (Central) at GCN.